Asun Star Community Outreach Program, Inc | |
199 Railroad Ave Ste 3a East Rutherford NJ 07073-1915 | |
(973) 771-3300 | |
(973) 679-2784 |
Full Name | Asun Star Community Outreach Program, Inc |
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Speciality | Community/behavioral Health |
Location | 199 Railroad Ave Ste 3a, East Rutherford, New Jersey |
Authorized Official Name and Position | Nickie Alston (DIRECTOR) |
Authorized Official Contact | 9176813747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Asun Star Community Outreach Program, Inc 199 Railroad Ave Ste 3a East Rutherford NJ 07073-1915 Ph: (973) 771-3300 | Asun Star Community Outreach Program, Inc 199 Railroad Ave Ste 3a East Rutherford NJ 07073-1915 Ph: (973) 771-3300 |
NPI Number | 1851623425 |
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Provider Enumeration Date | 02/08/2010 |
Last Update Date | 09/30/2023 |
Certification Date | 09/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851623425 | NPI | - | NPPES |
0161497 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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